I thought I would share titles, quick summary and my takeaways of the books I recently read on the subject of health and wellness. May be one or more might intrigue you or inspire you for you to explore further. Or, even adopt some practices recommended in these books to improve you health and wellness.

As I mentioned in my previous post #58, I consider Michael Greger’s website http://www.NutiritionFacts.com as the go-to site for all information related to nutrition. This cookbook is a good companion book to the website and his earlier best-selling book How Not To Die. Recipes are practical way of adapting to the latest in nutrition science. I have tried few recipes. They are very good.

In my blog post #9 – When it comes to health, vitality and aging what is really possible?, I had discussed the book, Prevent and Reverse Hearth Disease by Caldwell B. Esselstyn, Jr. M.D. In this book, Dr. Fuhrman’s has updated research on preventing and reversing heart disease. Case studies are mind blowing. He not only gives research but actually prescription on what you should actually eat and even very specific meal plans. Dr. Furhman promises his patients to let him decide what they eat for six weeks and then based on the result they can then decide what to eat. Most of them become converts to his prescription of nutrition after seeing the results.

I did a series for posts #51-#54 on How to Optimize Your Immune System. In this book, Dr. Fuhrman offers a lot more research and very practical ways to build immunity so your body can fight whatever comes its way – not only flues and colds, but also other infections and even cancer. Cancer after-all is just DNA mutation that body fights all day long. Only when our immune system is NOT capable of handling the mutated DNA, it starts to take over the organs unchecked. Again, the book includes nutrition meal plans, recipes to put into practice his philosophy – not just eat food that is packed with desired micro-nutrients, but eat a lot of it.

In blog post #50, I discussed how to optimize your health by maximizing your telomeres. Elizabeth Blackburh received Nobel Prize for her research in telomeres. Telomeres are the end-caps at the ends of our DNA strands like little plastic wraps at the end of shoe laces. If the little plastic wraps are damaged shoe laces become useless, so is the case with the DNA. The length of telomeres correlate with the remaining lifespan. Dr. Blackburn shares the latest research in lay-person language and shares the different methods by which we can increase the length of our telomeres. Reading this book, it should not come as surprise to you that the lifestyle choices I discussed in my Post #59, all help increase the lengths of your telomeres.

Time did a fantastic job in summarizing the latest in science of exercise in this special Time Magazine publication. If you needed any further evidence how exercise impacts health and lifespan, I believe this publication will deliver, without having to read some big tome. The issue spans many diverse topics: cardio vs. weights, high intensity interval training, running, swimming, yoga and other exercise modalities.

In my blog post #17 – Is meditation an effective antidote to stress, I talk about Transcendental Meditation or TM as a very effective and well-researched means for combating stress. Science of Being and Art of Living is book compiled based on lectures by Maharishi Mahesh, who introduced TM to the West. He also founded the TM movement that has established TM Centers pretty much in all major cities throughout the world. While first part of the book serves as evidence and motivation for TM, the later parts are more for the practitioners and advanced students of TM and Yoga.

A few months ago, I got a chance to meet and attend a work shop by Dr. Levy, who has spent all his life building bridges between Western medicine and Eastern philosophies of yoga and meditation. Dr. Levy talks about how to prevent and reverse heart diseases by tackling the most insidious of the issues that impact heart health, i.e., Stress. This manual is accompanied by CDs on which you will find and can actually use his hypnosis techniques for relieving stress and anxiety.

In this more recent publication, The Happiness Sutra, Dr. Levy further delves into the four different types of stresses humans face and how best to deal with all four types of stresses. This book also has a CD that you can listen to to get the benefit of Dr. Levy’s hypnosis methods for relieving stress.

Lissa Rankin, M.D.’s book Mind Over Medicine is a great case study of extreme stress brought on modern living and by our current medical system. Dr. Rankin, a practicing OB GYN, quit her practice of medicine because of the numerous health and personal issues brought on by stress from her profession. She eventually found ways to heal herself and then learned to apply her new found knowledge to become a true healer, without becoming slave to the medical system.

Have you read books on health and wellness that you would like to share?

I would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Unless you have been living under a rock on an isolated island, I am sure you have heard that lifestyle choices have big impact on both your health and how long you live.

Living longer means not dying sooner. And, to not die sooner, you must take actions that eliminate the various ways one dies.

Living healthy, means taking actions to prevent all the ways one loses their abilities to enjoy day-to-day activities of life. Or, at least postpone the time as far into the future as possible before developing disabilities.

In both case, i.e., living longer and living healthy, lifestyle choices play crucial roles. But what are these life choices, besides the ones you hear all the time: Eat Better and Exercise.

When I started to systematically pursue this topic of living optimal lifespan possible (my goal being 120 years), with optimal health span (my goal being no disabilities), I started enumerating all areas of life in which one can take some action to make this impact.

Of course, not everything is in our control. We did not come to this earth with guarantees. Unforeseen, random event, or events that are not in our control can ruin all our goals and plans. But the objective is to not let the possibility of events not in our control prevent us from taking actions that are indeed in our control.

So, here are all 13 dimensions of lifestyle that I have discovered so far that impact health span and life span. Each subject is a very extensive topic by itself. I just very briefly summarize my personal take on these and may be an example of how I am attempting to address them in my lifestyle and where you can read about further in these blog posts.

1. Benchmarking Health: Knowing where you are is where I believe it has to all start. You go to doctor’s office and they take your physical measurements (height, weight), you vitals (pulse, blood pressure), order some measurements from the lab and then compare those with what should be “normal” for you. In Post #7 – Can biomarkers help in the quest for vitality and longevity?, I discuss the various measurements you can use as biomarkers for health. These days I measure:

2. Nutrition – That is everything that crosses our lips, what we eat or drink. I discussed the topic of nutrition in a series of eight blog posts on this subject of Optimal Nutrition, Posts #22 through #29. additionally, Post #15, #31 and #32 discuss the topic of how and when to complement the nutrition with supplements.

3. Exercise – Exercise is indispensable for building and maintaining muscle strength, flexibility, balance, endurance. There is also abundant proof that it helps with the metabolism, overall health and health of specific organs. I discussed this topic of exercise in blog post #30 – How much and what type of exercise do you need for optimal health?

4. Maintaining Musco-skelatal Integrity: Pains in the back, knees, hips, shoulder, wrists and other various joints creep up. We may think that these pains just come out of nowhere. After all, we often notice that “yesterday it did not hurt and today it hurts”. So, it got be a random event. Right?

Reality is that unless there was a trauma caused by an accident, most of these are the result of repetitive movement in un-aligned joints. The underlying cause could be neglect of the muscles, ligaments and tendons surrounding joints or prolonged asymmetrical movements, e.g., always carrying a bag on the same shoulder, or playing games such tennis or golf that inherently require asymmetrical movement.

Yoga, myofascial massages, Rolfing, rolling with foam rollers, visiting a chiropractor for body alignment, weight bearing exercises for join strengths, e-cise routines designed by Pete Egoscue are methods I have learned for maintaining musco-skeletal integrity. I discuss some of these in Post #30 – How much and what type of exercise do you need for optimal health? And Post #49 – What is the role of massage therapy in Optimal Health? Also, I discuss how you can use foam rolling for body alignment in Post #39 – Ever heard of foam rolling.

5. Maintaining Optimal Dental Health: Good dental health not only impacts quality of your life, it can also impact how long you live.

The American Heart Association published a Statement in April 2012 supporting an association between gum disease and heart disease. The article noted that current scientific data do not indicate if regular brushing and flossing or treatment of gum disease will decrease the incidence, rate or severity of the narrowing of the arteries (called atherosclerosis) that can lead to heart attacks and strokes. However, many studies show an as-yet-unexplained association between gum disease and several serious health conditions, including heart disease, even after adjusting for common risk factors.

You may also have seen health and lifestyle surveys used for estimating life-expectancy that want to know if you floss daily. If you do the models give you credit for an extra 2 to 4 years of life.

In Post #47 – What does optimal dental health look like and how to achieve it?, I discuss this topic in greater detail.

6. Maintaining Mind-body Connection: Our mind and body are inherently connected. Maintaining the connection between the two is essential for optimal health. Yoga, Tai Chi, Qigong, are some ways to develop and maintain mind-body connection. I have very limited experience with Tai Chi and Qigong. I do, however, perform Yoga as part of my lifestyle. In Post #11 – My first year of experience with Bikram Yoga, Post #12 – My second year of experience with Bikram Yoga, I describe how I incorporated Bikram Yoga into my lifestyle.

7. Enhancing and Maintaining Brain: If we lose vitality of the brain, the quality of life suffers dramatically. Alzheimer and other forms of Dementia can often be very painful way of living. Evidence is mounting that for optimal brain health, we must keep the brain stimulated with right activities. All my life, I have been very focused on left brain type of activities. As I was turning 60, I decided to do something about it and started taking piano lessons to stimulate my right brain and prevent any premature aging of the brain. I discuss the activities for maintaining optimal health in Post #57 – Optimal Mental Health – what is it and how to achieve it?

8. Stress Management: Stress is a root cause of many diseases. We have all experienced how stress can bring about disturbances in the digestive systems, back pain, high blood pressures, even heart attacks and strokes. Yoga and Meditation are two of the ways to manage stress. Perspective management is another powerful method. I got initiated in Transcendental Meditation over 30 years ago and I have been doing TM ever since with good benefits. I tackle the subject in Post #16 – What is stress really and why is it bad for longevity and health and Post #17 – Is meditation an effective antidote to stress.

9. Adequate Sleep: There is more and more evidence every day that inadequate sleep can cause all sorts of ailments. 7 to 9 hours of restful sleep is considered optimal. All my life, I thought the object of the game was to get away with as little a sleep as possible. Sleeping more than 6 hours every night is still a challenge for me. Although I am working on it to extend sleeping hours during the week and may be do some catch up sleeping during the weekends. Maybe I will tackle this topic in a future post. In Post #61 – How much sleep do we need? – I discuss the latest in sleep research.

10. Social Engagement: World-wide Study of Blue Zones, i.e., geographical areas where longest living people are clustered, showed a very surprising factor that contributed to long healthy life of people living there. Researchers found that people in Blue Zones are socially very engaged. Centenarians in these areas are engaged with tight knit groups of friends and family. So, the conclusion is that social engagement is an important factor in living longer and healthier.

11. Purposeful Living: It is well known that death rates spike after the holidays and after major life events. Researchers deduce from studies of such phenomena that people live only as long as they find life meaningful.

Of course, it needs an ongoing effort to figure out what one can derive meaning from. One may find meaning in raising kids or grand kids, contributions to society, being the best spouse one can be or from “slaying some dragon”. Some people find meaning in their faith and service to God. Others find meaning in being of service to mankind or their fellow human beings. Yet others can find meaning in their job or career.

Viktor Frankel in his book: Man’s Search for Meaning, explores this topic beautifully.

12. Make Full-use of All Modalities of Medical Care: Modern medicine has developed amazing and miraculous treatments. By making use of the modern medicine one can live much healthier and much longer. In general, the earlier you are able to catch a disease and the sooner you start treatment, better your chances are of a cure or at least minimizing the damage. Mantra for modern medicine is “early detection, early cure”

Alternative schools of medicine, such as Ayurvedic, Homeopathy, Aquapuncture, Naturopathy, offer valid means for preventative care and whole-person healing. Leveraging these modalities of medical care as appropriate can offer means for optimal healing and living. Here the rule is the age old wisdom: An ounce of prevention is better than a pound of cure.

I was even able to eliminate my severe seasonal allergies by working with doctors of Naturopathy and thus was able to totally change the vector of my health as I discuss in Post #8 – So, did I you tell you the story of my allergies. Also strengthening your immune system can have major consequences on how your body deals with diseases as I discuss in a series of Posts #51 – 54 – How to Optimize Your Immune System – Part I through Part IV

13. Making use of Genetics Science: There is of course the truth of genetics. Genes do play a role in how long we will live and what diseases we may have the tendencies to develop. Over the last few years, however, scientists are finding that inherited genes often do not determine your destiny, it is the lifestyle that can either turn those genes on or off. This is the exciting field of epigenetics.

Studies from the filed of epigenetics do give us opportunities to leverage genes. Through genome mapping, we can find out what might be our tendencies and to what aspects of our life, therefore, we should pay particular attention. Over the last few years, I have gotten my telomeres measured – these are tips at the ends of genes that are considered to act like our lifespan clocks. I discussed this in Post #50 – How to optimize your health by maximizing your telomeres. More recently, I have sent for genetic testing to be able to receive personalized genetics bases lifestyle coaching. I will share results of that experiences in a future post.

The percent of role of genes that we cannot do anything about is constantly shrinking all the time. Now it is believed that only between 5% to 15% of lifespan and health span is determined by genes that we have no control over.

Bottomline:

In summary, researchers have shown again and again that health span and life span depend upon one’s lifestyle choices. A holistic look at lifestyle choices means many different and distinct areas of life.

I shared my take on these dimension of lifestyle and some of my experience. Also, gave references to where you can find more information, whenever, I have already discussed that topic in more detail in my blog posts.

Benchmarking Health

Nutrition

Exercise

Maintaining Musco-skelatal Integrity

Maintaining Optimal Dental Health

Maintaining Mind-body Connection

Enhancing and Maintaining Brain

Stress Management

Adequate Sleep

Social Engagement

Purposeful Living

Making full-use of all modalities of medical care

Making use of Genetics Science

What do you think?

Do you think there some other dimension of lifestyle that I did not address here that is also important?

I would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

On Father’s Day this year, my wife gave me an Apple Watch as a gift. And, as you can probably guess, I went straight to the fitness apps.

Apple watch allows you to continuously measure heart rate, daily steps walked, and the distance walked. You can also set it to remind you to stand up, as I often as you tell it to and it keeps track of how many times you actually did stand up. And, it gives you at-a-boys for hitting and moving toward your goals. So, I starting using all these features right away.

But soon after I was wondering: What does the research say about the benefits of daily activities such as standing, walking etc.? Is their science behind this or is it just a gimmick?

And, even more importantly, Vernikos and other scientists also made the key connection that sitting on earth is the same as living in zero gravity. Having made that connection, they found that much of the research for space living becomes relevant to those of us who are earth bound.

According to Vernikos, when astronauts spend time in space, here are the kinds of health issues they develop:

Blood volume reduced

Body weight and mass decreases

Increased calcium excretion

Increased risk of kidney stones

Heart shrinks – cardiac output decreased

Heart muscle wall becomes thinner

Red blood cells reduced.

Stamina/aerobic capacity reduced

Lowered growth hormone response to exercise

Muscle atrophy; loss of muscle mass

Muscle strength reduced; size of fiber decreased

Fat moves in to replace muscle mass

Muscle sensitivity to insulin reduced

Muscle less able to take up sugar

Sense of taste and hearing dulled

Biological rhythm disturbed

Calcium lost from bone

Bone mass and density decreased

Increased risk of bladder infection

Delayed wound healing

Testosterone reduced

The list sounds pretty awful, doesn’t it? After reading this list, you wonder why would anyone want to go live in space.

But these are the same effects that you see as people age on earth.

And, here is the kicker: Space research shows that these conditions induced through Gravity Deprivation Syndrome (GDS) are reversible once you get astronauts re-introduced to gravity. It often takes almost one day of re-conditioning with gravity for each day spent in space to fully recover.

What about earth-bound people like you and I? We experience GDS is through sedentary life style. Through sitting and bed rest, we experience zero gravity like condition.

GDS starts as early as age 20. Using bone density loss as a measure of GDS, earth-bound people experience a bone loss at the rate of about 10% per decade. No wonder, by 70’s and 80’s most people have serious osteoporosis conditions with frail bones.

These sedantary lifestyle induced GDS is the reason we are now hearing catch phrases like: Sitting Kills; Sitting is the new Smoking, etc.

How to Overcome Gravity Deprivation Syndrome (GDS)

Through studies and experimentation, researchers have found that to counter the effects of GDS, standing up often is what matters, not how long you remain standing.

Every time you stand up, the body initiates a shift in fluids, volume, hormones and causes muscle contraction to occur, and almost every nerve in the body is stimulated. If you stand up 16 times a day for two minutes, the body would read that as 16 stimuli, whereas if you stood once and remained standing for 32 minutes, it would see that as one stimulus.

Gym Workouts are No Substitute

Another surprising result: Gym workouts of 30 to 60 minute even daily may not be total replacement for activities required to counter GDS. To counter GDS, one needs to exercise stabilizer muscles that include tendons, ligaments, and other connective tissues. Most folks focus on mobilizer muscles that include thighs, biceps, hamstrings, triceps, chest muscles, abs etc.

James Levine an exercise physiologist at the Mayo Clinic in Rochester, MN, coined the term Non-Exercise Activity Thermogenesis (NEAT). NEAT is defined as the small, brief, yet frequent muscular movements one makes throughout the day, of which changing position is the most effective. Here are some examples of NEAT movements, other than standing up:

Bending over to pick up something

Squatting

Stretching upward to take something off a shelf

Getting dressed and undressed

Playing a musical instrument

Stirring a pot

Crossing and uncrossing your legs

Waving one’s hands while talking

Fidgeting

So, more such activities we do, the more effects of GDS we overcome,even though we do not break a sweat.

Bottom Line

Extrapolating extensive research conducted for space travels, shows that Gravity Deprivation Syndrome (GDS) has serious consequences to our health.These symptoms of detrimental health due to GDS are often associated with aging, but actually are due to decreased activity as people grow old. Achieving and maintaining optimal health requires strategies to maximize activities to counter the effects of GDS.

The following is a list of some very effective actions to counter GDS:

Stand up sit Down

Stand tall

Stretch at your desk

Walk tall

Take the stairs instead of elevator

Practice balancing when you put on and take off your pants, shoes and socks

Use a broom

Play on swings; use rocking chairs

Dance

Play catch; throw Frisbee

Do yoga

Remember that exercise is not for gym any more.So, as often as possible, inconvenience yourself by:

Parking far away from the destination,

Taking stairs instead of elevators,

Stepping up on escalators,

Walking instead of taking people movers,

Getting up frequently to reach for things, and

Carrying your brief case instead of rolling.

All these action help in keeping your stabilizer muscles in top shape for optimal health.

What are your thoughts on this subject?

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

In Post #51, I discussed some basic terminology of the immune systems, how immune system works, and what kinds of issues happen when it does not work.

Things that are in our control to enhance our immunity and also so the immune system does not go haywire are the ones that you have heard about gazillions of time by now and are probably tired of hearing about: Nutrition, Exercise and Lifestyle.

In Post #52, we discussed how to boost your immune system with nutrition. In this post, let’s focus on how and what type of Exercise can boost the immune system.

Physical activity may help flush bacteria out of the lungs and airways. This may reduce your chance of getting a cold, flu, or other airborne illness.

Exercise causes changes in antibodies and white blood cells (the body’s immune system cells that fight disease). These antibodies or white blood cells circulate more rapidly, so they could detect illnesses earlier than they might have before.

The brief rise in body temperature during and right after exercise may prevent bacteria from growing. This temperature rise may help the body fight infection more effectively. (This is similar to what happens when you have a fever.)

Exercise slows down the release of stress-related hormones. Some stress increases the chance of illness. Lower stress hormones may protect against illness.

Getting a little deeper into the subject, here are some findings from some specific studies:

We have all heard that exercise is good for you. And, as this blog post is emphasizing, among other things, exercise also enhances the immune system. But how much exercise?

In this study, the researchers examined three groups of people: elite athletes, recreational athletes, and sedentary controls. Their results were kind of interesting:

The elite athletes had the most upper respiratory issues (66% got sick).

The couch potatoes were next (45% got sick).

The recreational athletes were the healthiest (22% got sick).

All kinds of other research has found the same thing, so exercise scientists tend to use a J-shaped curve to model the immune effects of exercise. It looks like this:

So one thing is clear, moderate exercise is significantly better for you than no exercise at all. If you are sedentary, it does not seem to take much to get the benefits of improved immune system. For example, daily walking for one hour at a 60 to 65% maximum heart rate (computed as 220-your age) gets you near the optimal range in the above chart.

From the chart, it is clear that there is a point where the benefit of training stops and the negative effect of over-training on the immune system sets in. This literature review article, goes into much more specifics on the kind of exercise that produces the immune-suppressant, i.e., harmful, response:

Relatively long workouts (1.5 hours or more), especially without refueling during the workout.

A reasonably high intensity, but not excessively difficult (since you have to be able to keep it up for a while).

An inadequate recovery period between workouts.

Basically, the kind of grueling training elite athletes often go through preparing for a competition, such as running a marathon.

“No activity is worse than some, while too much may be worse than none at all. The ideal lies somewhere in between – though not necessarily in the middle, but rather smack dab in the “just enough” section. Can “just enough” be quantified? Perhaps it could be quantified using a battery of round-the-clock tests and measurements of anabolic and catabolic hormones, various serum concentrations, lactate build-up, cortisol, testosterone ratios, etc., but that would be expensive, unwieldy, and completely individualized. …If you want to avoid over-training, there are some grand, overarching principles to follow, but you’ll also want to pay attention to certain personal, entirely subjective cues.

That’s what my trainer and yoga teachers call “listening to your body”. There are days, when I am feeling physically ragged since I may not have slept well, or I may be catching a virus, or am feeling physically exhausted or whatever. In such situations, I need to carefully “listen to my body” and either take it easier than usual or just totally skip the session.

Bottom Line

To optimize immune systems, exercise plays a critical role. It only takes a moderate amount of exercise to get the optimal benefit of exercise for improving immune system. For example any of these activities or some combination of these done daily would optimize the immune systems:

walking for 1 hour at a pace of 60-65% of maximum heart rate of approximately 220 minus your age,

An hour long yoga routine,

A strength training session with body weight or light weights could do the trick

On the other hand, extended periods of over-training can compromise and may lead to sub-optimal immune system. It is more difficult to define over-training with objective measures and may depend upon many individual factors. It is best to listen to your body and develop a subjective feel for what level of exercise may be “just right” for you for optimal immune system.

What are your thoughts on this subject?

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

But how much exercise and what kind of exercise, do we need for optimal health? As soon as you ask that question, the answer is not that clear anymore.

Here are some of the answers you might get if you ask around that question:

“Any exercise is better than none”

“At least three days a week, thirty minutes each day”

“More is not necessarily better”

“Start slow and then keep increasing the intensity and time”

“Three days of aerobics and three days strength training”

Most of these answers seem either arbitrary or quite useless, if you are in pursuit of optimal health. Most of the people you ask either don’t know the answer or assume that you may not be able to handle the real answer or might get discouraged if you knew the real answer.

Just like the way I posed on question on nutrition, let me restate the question, “If there were no excuses, what should be the optimal amount and type of exercises for optimal health?”

No excuses: I am too fat, I am too slow, I don’t have enough time, I am not in shape, my — hurts, I don’t feel well enough, I am too young, I am too old… None of such excuses allowed.

In the process of writing this blog, I thought, as usual, I would find some additional information and also sort out information I have in my head to-date and share that knowledge.

Well, I got stuck right here while writing this blog.

So I took a break and finished reading the book, I recently bought: “Which Comes First, Cardio or Weights? Fitness Myths, Training Truths and Other Surprising Discoveries from the Science of Exercise”, by Alex Hutchison, Ph.D.

The book offers answers to numerous frequently asked questions regarding exercise citing the latest in scientific research in the field of Sports Medicine. And, of course, that includes, the very poignant question on the book cover.

If you want to get to the punchline from the book, here is an excerpt from the last chapter where Hutchison offers the following as a summary:

“..Knowing is half the battle. The other half is the real challenge – putting the knowledge into practice. To that end, I hope you’ll take the following three messages from this book:

Do Something rather than nothing: …if there’s one overriding theme in the research presented here, it’s that any exercise, in almost any amount, brings significant and immediate health benefits. Start doing it, and worry about getting it right later.

Figure out your goals and monitor your progress: …Think carefully about what you hope to achieve in six months, a year, five years – bearing in mind the aphorism that most people overestimate what they can achieve in the short term and underestimate what they can achieve over the long term. Choose a program that will move you toward those goals and monitor your progress.. If you don’t start to see progress after 6 to 12 months, consider whether your program is appropriate for you goals.

Try something new. Whenever researchers line up two or more exercise techniques against each other, the conclusion is almost never “A is better than B” or “A and B are the same”. Instead, it’s, “A has these strengths and weaknesses, while B has these strengths and weaknesses” Moreover, all programs suffer from diminishing returns after a few years… Trying something new every now and then will force your body to adapt in new ways, keep you mentally fresh.”

Well, this is not quite the answer I was searching for. But it seems to be the reality out there.

It is also a good working strategy. And, is pretty close to the one I have personally been following.

In most health literature, one thing I find repeated over and over again is that muscle or lean body mass is a very important factor for health and longevity.

When I heard from Joe Dillon about 15 months ago a concrete technique to lose body fat and gain muscle mass, I got inspired. Although, I had generally been keeping track of my weight, up until then I had never really thought of tracking or targeting body fat and lean mass directly.

More I studied this topic, the more it all made sense. Weight and Body Mass Index (BMI) are just proxy for tracking body fat and lean mass, which are what really count. It is the body fat that is harmful and it is the lean mass that is helpful – and both in so many different ways. And, at times BMI and body fat can be very poor approximation of body fat and lean mass.

If in the process of losing weight, you lose muscle mass rather than fat, that is not a good thing at all. In fact, that can be very harmful to your health. Mark Hyman, MD talks about a term call skinny fat to describe someone who looks quite skinning, has good weight, but the weight is very disproportionately fat mass.

Jim Karas, in his book, The Business Plan for the Body”, calls lean mass the net worth. When he talks to business people, who understand financials, he explains weight, muscle and fat this way: weight is your total assets, fat is total debt and lean muscle mass is your equity or net worth. And, if you do nothing, starting with age 30, you lose muscle mass, about 7 lbs. per decade for men and women, and accelerating to one pound per year after menopause for women. So, if you do nothing to counteract, by the age of 60, you will have lost 21 lbs. of muscle mass and replaced with 21 plus your weight gained, since the age of 30, in body fat. Is that 31 lbs. or 41 lbs. or more of additional body fat? Yikes!

So, instead of looking up on the BMI tables to estimate what ideal body weight should be, a precise method is:

Ideal weight = Body Fat Weight/0.15 for 15% body fat target.

Where, Body Fat Weight = Current Weight * Current % body fat

Current % body fat is measureable by taking seven different measurements with calipers and them plugging into calculator.

With all this knowledge in hand, I started my journey. On May 17, 2013, started with these measurements:

Notice that in May 2013, at 23.9% body fat, my ideal weight was150.0 lbs. And, as it generally happens if I were to lose 17.5 lbs to get to 150.0, it will prTable 1obably not all be body fat. So, as more weight I lost lower my ideal body weight would need to be. No wonder this is a sucker’s game (or obsession)!

My goal was to lose body fat, while at the same time gain lean mass!

I changed my diet per Joe Dillon’s recommendations. Basically, took breads and sweets totally out of my meals and all processed foods, added more raw fruits and vegetables, decreased quantity of what I would eat and added about 150 grams of proteins through Whey concentrate and isolate shakes. I kept to my then most recent routine of one fitness/resistance training workout and two to three Bikram Yoga sessions a week.

I progressed along pretty well as you can see in the table below, especially through the end of the year.

Every month I was losing about a pound of fat and gaining a pound of lean mass. That seemed very encouraging. After a few months of watching that trend, I even raised my target. I started to ask, “Wouldn’t it be cool to get six-pack at sixty?” I have never had six-pack abs before. Why not? May be 12% body fat would do it.

And, then starting beginning of year, the progress sort of plateaued. In April, I added to my weekly workout routine Joe Dillon’s power walks with weights about three days a week. And, I started to make a very gentle progress again.

So, I started to work on that through herbal supplements, which is still work-in-progress and another story for another day. Joe Dillon recommends getting that test up-front, which I did not do, so I did not really have any baseline numbers to compare.

About a month ago, I saw an exercise program by Shawn Phillips, who is a world class body sculptor. He called this program, Muscle Mania – a program made up of intense workouts, one muscle a day, every single day for 21 days. His promise was add 4 pound of muscle mass in 21 days.

I talked to our trainer Saleem and my wife Kimberly. Both were encouraging and we went for it. Starting July 16th, for the next 21 mornings, under Saleem’s coaching Kimberly and I worked out. (Actually on day 20, I did not feel well, so we skipped a day and finished the program in 22 days). For 21 days, we bombed one muscle group every morning: chest, biceps/triceps, legs, back, shoulders in whatever order and with whatever exercises the program recommended. Some days, I felt totally exhausted, some days very energized. But we pushed through it and finished the program as intended.

As of August 9, if I am measuring, it correctly (Kimberly did the measuring wherever I can’t reach), I have achieved 15.1% body fat! And, as the table shows my weight of 161.0 is the same as ideal weight of 160.9 at 15% body fat.

I did not really do the measurements before and after the 21-day program. But no doubt, I made most of this progress between May and August during the 21-day program. During this period, I lost 4 lbs. of body fat and gained 2 lbs. lean mass.

And, I can see hints of my six-pack! It seems like 12% body fat will surely make my abs visible.

So, there you have it – the story of my chase for 15% body fat and in turn for my ideal weight.

I definitely, feel more energized. This has also brought my cholesterol in line. I quit taking Lipitor last year in May, the same time I started this journey. And, the most recent blood work showed total cholesterol of 145, LDL of 88, HDL 43 and Triglycerides of 69. That is the best it has been even with Lipitor!

To continue the progress, for the near future, Kimberly and I are planning on two days of strength/resistance training, two days of some aerobics including power walks and two days of Bikram Yoga for flexibility, balance and cleansing the internal organs.

What are your thoughts or comments on this whole endeavor?

If any of this helps you or inspires you to take on some health challenge, I would love to hear about it and/or answer any questions you may have.

Here is my SECOND year of experience with Bikram Yoga that I wrote down in February 2014. This makes a nice sequel to my last week’s blog post, where I shared the first year of experience.

Today is Presidents Day 2014, two years after I started the Bikram Yoga. It seems like a good time to reflect on my progress with Bikram Yoga.

Experimenting for Regaining Control of Breath

At the beginning of my second year, I started experimenting and also talked to various teachers about my desire to keep control of my breath and conserve energy to perfect my poses. Most of the teachers discouraged skipping an asana, emphasizing that that asana are designed with certain flow in mind. Best suggestion, I thought, came from Rosa. She advised to do the first sets as easy as I needed to and then give my all in the second sets.

I started this technique with almost skipping the first sets. Then slowly I started to do the firsts sets lightly to build endurance and maintain form. I would then give my all in the second set, reminding myself that I could always skip the first set of the following asana if I needed to regain control of my breath. I felt better and better with this method.

Reintroducing Strength Training

One downside I found for doing Bikram only was that after a year I started to feel that my strength was waning. I did not feel as confident in simple things like lifting my laptop brief case, which is about 30lbs. In April 2013, Kimberly and I restarted working out with our trainer Saleem for one day every week. Initially, I would do three times Bikram and one time Saleem every week. For the last few months, I have settled into twice Bikram and one time Saleem. With Saleem’s workouts, my strength is definitely back. With Birkram twice a week, I am able to maintain the flexibility and balance.

Visit to the Egoscue Clinic – Crooked Body Fixers

Another thing I was quite encouraged by was improvements in my knee pain through Bikram. So, I decided to see if I could really get them to be 100% cured. For that I decided to visit with the local Egoscue Clinic. Kristen Thor, the therapist there, showed me that my knees were misaligned in that they were pronated, i.e., faced outwards. Although, knees were my major concern why I went to her, she also showed me that the reason my right shoulders kept getting stiff whenever I worked out with heavy weights is that my upper body was misaligned in that my right shoulder was rotated forward. That, she said, was also the reason why my right wrist would hurt when I would put weight on it, for example, when I did pushups. She was clearly able to demonstrate these issues.

As she worked through those issues, I also told her about my awkwardness with the Awkward Pose (Utkat Aasna) or even weighted squats. For that she showed me that my upper back lacked flexibility and did not have the proper curvature. This made it difficult for me to balance when I did the Awkward Pose or the squats. For years, Saleem and my sons have been telling me to stick my butt out while squatting, which was hard to do, according to Kristen, if my upper back did not provide me the counter balance when I was sticking my butt out.

Finally, I talked to her about how it felt difficult and my back used to get really tired when I was doing the Standing Head to Knee Pose (Dandyamana Janusheer Aasna). For that, she told me that my hips were not open and flexible enough.

So, over a period of about seven months, I worked with her. I started to feel improvements with my posture in general, my Saleem workouts, and the Bikram poses. Knees got even better. Finally, she gave me routines to do before doing my Saleem and Bikram sessions. Pre-Saleem exercises are to warm up my shoulders before the workout. Pre-Bikram e-cises are to open my hips and upper body before the class.

My knees pain is mostly gone. I can comfortably do weighted lunges, weighted squats, and single leg jump ropes. I have not really felt any significant pain in months. Although, based on memories, I still often hesitate before I do knee straining exercises, as I have been conscious of the knees for years now.

The Joe Dillon Difference

Oh yeah another thing. During our May 2013 Vistage meeting, I met our Vistage speaker Joe Dillon. He was a 69 year old in-your-face kind of guy, who has coached Olympic swimmers and thousands of other people. He got me thinking that it was possible to change my body composition, with the right nutrition. You mean I could dramatically reduce my body fat percent by simply changing what I eat? With the information I got from him and his book and videos, I dramatically changed my eating habits. With Joe Dillon’s protein shakes and Full Strength protein shakes, I added about my body weight equivalent in grams of proteins every day to my intake. I eliminated most raw sugar and flour based products from my meals and started to do a better job for sugar management. I also added to my diet fish oil (Omega-3 Ultra from X-tendlife.com), Flax Seed Oil and a better quality of daily vitamins and supplements (from Premium Daily vitamins from X-tendlife.com).

Since June 2013, when I started the program my weight has decreased only by about four to six pounds, but body fat percent has decreased from 25% to 18%. That means I have added about 7 lbs of muscles and lost about 12 lbs of fat. And, my belly fat is down by 3 inches! I like the trend.

Wow, I Can Touch My Head to My Knee and Hold!

With all these factors and as my endurance built up at Bikram, I started to do the first set more and more deeply. And, I made significant progress on some harder poses. While all of the poses can be done better and at a deeper level, by now, I can reach closer to the final expression of most poses. In the Standing Head to Knee pose, I can now touch head to knee as the final expression for the three counts, though not very gracefully. My knees get a little wobbly. I can almost do Toe Stands with hands in prayer position, but not always for the complete time. My awkward poses are fairly deep and decent, and am able to rise much more slowly in the third part. I can see my complete foot over my head in the Standing Bow. I am able to touch my head against knees in the rabbit pose. My Triangle pose is nice and deep and stable.

And, at times, if the room is not too hot, or my body is feeling up to it, I even attempt the first sets with all I got.

No More Lipitor

Oh yeah. I did two blood works to test my Cholesterol over the last seven months, WITHOUT taking Lipitor. In August, my LDL was 135, so I added Red Rice Yeast to my supplements and in January it was 124. My primary care physician said that with these types of results I can safely stay off Lipitor. Yeah! That is another big goal accomplished. Check.

So, today on Presidents Day, February 17, 2014, on my second anniversary of Bikram Yoga, where to from here:

All the poses can of course be done better. I would like to keep working on improving the poses and my teachers to keep critiquing me for the finer points of my postures. Twice a week seems like good maintenance discipline. At some point, I may want to do another 30-day challenge to see if I can get another step improvement. At this time, I am doing too much other stuff to do any more than twice a week.

I have already raised my goal for body composition – Six Pack at Sixty! For that I would need to get to 12% body fat percent by my birthday. I have another six months until my 60th birthday. I may need to add another couple of days’ worth of workout a week, even just aerobics or walks with weights to create the needed caloric deficit, to get to the body fat target. And, I have to make sure I am providing my body enough protein to build the needed lean mass. Saleem has also recommended for me to do some Abs and Core workout during the week on my own.

I would like to get an X-ray done of my knees to see if there is any cartilage that is worn out and not yet rebuilt. Then I could more precisely focus on getting that to 100%.

Continue to do Egoscue a couple of times a week in addition to the pre-Saleem and pre-Bikram sessions. Also, work in at least one set of Egoscue Tower e-cises a week for alignment. Getting Tower in has been the hardest part for last couple of months.

Ringing in my ear has not abated. I only feel it when I focus on it. I need a solution for that. Don’t have any solution yet, other than getting a hearing aid, which the Audiologist said, sometimes fixes it.

There are few topics on which if you get me started, it is usually very hard for me to stop. You may even be sorry, you asked me a question.

I have already shared a couple of these in my blog posts – reversing allergies and fixing headache without meds. Here is another of my favorite subject these days – Bikram Yoga. I have been practicing Bikram Yoga now for over two years.

Here is my first year of experience with Bikram Yoga that I wrote down in February 2013.

If this invokes any thoughts or questions, I would love to hear about it.

Our Thursday Night Date

“How about we go check out this place that does Bikram Yoga in Columbia and then we will go out to dinner somewhere there?” I asked Kimberly suggesting this as an activity for our Thursday night date.

“Ok,” She said very agreeably.

On the way there, I told her that for several weeks I had been feeling stiffness in my shoulders and at times in my neck also. I had heard that Bikram Yoga is done in a hot room. I was thinking that may be over the upcoming long weekend for President’s day, it would help limber up my shoulders and neck.

When we got there, the woman at the front desk, Rachel, introduced herself as a Bikram Yoga teacher and gave us a tour of the facility. She told us that we should come in with a yoga mat and three different towels, one for the mat, one for shower and a hand towel. I made up my mind right there and then, and asked Kimberly for her support and company in doing the yoga over the long weekend.

So, How Was the Class?

The next day, Kimberly said that she was not feeling very well, but went with me anyways for moral support. So, I got to experience the first class by myself, while she sat out in the lobby with a book.

As I returned from the class, she looked up from her book and asked, “So, how was the class?”

I blurted out the first thing that came to my mind, “There is a lot of growth opportunity here.”

You see, I had been working out quite regularly, for over 10 year with my trainer, Saleem Udqa. I started with him as I was approaching 50. In fact, both Kimberly and I and even our sons Daniel and Justin have been working out under his guidance at our home. Saleem advocates a very holistic type of regime, strength training, free weights, cardio conditioning, reaction training, TRAX, lot of conditioning, balance, stretching for flexibility and a lot of skills for everyday life. So, I thought I was in a pretty good shape. But it was not easy being in the heated yoga room and doing the poses for full 90 minutes. I had to stop several times, either being out of breath or just too hot and feeling dizzy. I was not even close to getting into many postures. I definitely felt very challenged. So, I told Kimberly I was going to do the yoga every day for one week, taking full advantage of the one week subscription that I had purchased.

On the second or third day, I decided to pick up the two books by Bikram: Bikram’s Beginning Yoga Class and Bikram Yoga – The Guru Behind Hot Yoga. The first one is about the postures and the other about his life story and has details about concepts yoga. As I read those two books I was even more intrigued about the Bikram Yoga routine. In the books, Bikram Chaudhary lays out the rationale for his routine. He described how the routine works out every part of the body, both inside and out. And, he described the principle of extension and contraction, to flush out all organs in the body with oxygen rich blood flow and how that is a key to healing. In his books, he also challenges readers to do the routine every day for 60 days and promises that after 60 days, they will be able to do 80% of the postures 80% right.

So, I announced to Kimberly that I was going to put our workout with Saleem on a hold and to do Bikram Yoga every day for 60 days.

Why am I Having Such a Hard Time Simply Bending Backwards?

It took about a week to get used to the heat and a few more days before I started to get through the whole routine without having to take breaks. After a couple of weeks, I could tell what posture was coming next and see in my mind the whole routine. About then I also started having breakthroughs in different postures.

Well into the third week, I still could not even bend backwards for the Camel pose without getting dizzy. Finally, I asked yoga teacher Kat, “Why am I having such a hard time simply bending backwards? It does not seem the Camel pose by itself is such big a deal.” She told me that that experience was very common and I simply needed to push through it. And, lo and behold, that day I “pushed through it” and was able to bend backwards without getting dizzy.

For the Firm Fixed pose, in the beginning I had excruciating pain in my knees. I could not even fully sit between my feet with my butt on the ground. When knees got better, ankles hurt. When ankles got better, quads were too tight and hurt. Each day my body got more and more limber until few days later, I was able to push through and do the full pose.

Learning the Nuances

Starting with the fourth week, Kimberly joined in. By that time, having accompanied me so many times, she had become, according to one teacher, “the most well-known non-yoga student in the studio”. So, now I had someone to talk to in detail about different postures. I had read through the technical details of poses in Bikram’s book. We started comparing where we were with respect to the final expression of the poses. I would also talk to other guys in the locker room to get hints and tips. I noticed that because of me showing up every day I was progressing quite fast and was soon beyond where a lot of guys were who had been doing Bikram Yoga for much longer but not as regularly.

We would also discuss what we would hear from different teachers in their dialogue. Kimberly and I would always talk about and share any nuance we would learn. Heidi would always emphasize breathing. So, we learned how to breathe properly from her. Kat started us off on the fully relaxation during the last Shava asana. So, I started developing a routine to fully take advantage of Shava asana at the end. I started setting my mat right next to the teachers, so it would be easier for them to see me doing things wrong and correct me. I would always take time to thank them for correcting me, so they would feel even more comfortable correcting me. When Bikram Chaudhary was in the area, we went to hear his talk to pick up any further motivation and nuances.

In those beginning months, my yoga practice also seemed very susceptible to who was teaching the class. I would come home, discouraged, wiped out, elated, encouraged or feeling that room was all over the place based on who was teaching. That was in spite of the fact that I found I could always learn something new from every teacher. I even requested a couple of teachers if they could enunciate verbs a little louder. As the time passed, I learned to focus more and more on myself and it became easier to hear and stay in sync with the teachers.

60-day Obsession

It turned out to be not that easy to do yoga every single day. I was quite busy at the office and was also traveling quite a bit. Once I had a dinner meeting in Crystal City. So, I found a studio in Falls Church for an afternoon class before the meeting. While traveling to Peachtree City, I found a studio in Decatur, GA outside Emory University. I found a hotel room near the studio, did a session from 7:30 to 9pm and then another session starting at 5:30am the next morning.

One day I flew myself back from Fayetteville, NC, did an afternoon conference call, ate a piece of cold Mediterranean pizza while on the call and then ran off to do yoga. With the very first set of postures, as I bent down for Head to Feet pose, I felt like I was going to throw up. After completing the yoga session with great difficulty, I did a forced throw up to purge my stomach. I came home and got sick anyways. I realized that I had been pushing myself way too hard and had probably compromised my immune system – before I even talk about eating pizza right before yoga. I still had one week to go before my 60 days were up. It took me 5 days to heal, after which I did do the last week to complete my 60 day personal challenge.

The Rewards, Proselytizing and Bikram Yoga Lifestyle

After 60 days, it did seem that I was doing about 80% of the postures about 80% right. Right after completing 60 days, I went in for my blood work for cholesterol. That came out really well. LDL was lowest it had been for a while. HDL was highest it had been for a while. My weight was in ideal range, between 162 and 164 lbs. My knee pain had mostly abated. I had started prancing on my toes down the stairs. My sinuses had become very clear. I had lost an inch of my height over the last few years; I got most of that back. My meditation felt deeper and quieter. I noticed that Kimberly’s skin was much more moist and softer than before. She has had very dry skin in the past. She noticed that her varicose veins were disappearing.

After that initial period, Kimberly and I decided that we will just do Bikram as the main form of our physical exercise and discontinue Saleem. I decided that may be this was the way to take my health to the next level and achieve my goal that I set a couple of years ago, “Better health at 60 than at 50.” So, we settled into our routine of yoga 3 times a week.

6 months later, in August, I went in for a complete physical. Everything was still great.

When Boys came home during the summer, we introduced them both to Bikram Yoga. Both seemed to enjoy it and benefited from it. Excited about our new find, we also introduced Bikram friends and family. We personally introduced about half-a-dozen people to Bikram. Out of all those folks, two have taken this up as a regular part of their life.

We took almost 3-week break from Yoga in October when we did Pancha Karma program at the Ayurveda Institute in Albuquerque, NM. During the PK program, while on Kitchuri, i.e., Rice and Lentils, diet, body was too weak to handle the full Bikram routine. In fact, we learned a very gentle form of Yoga at the Institute, they called Ayuer Yoga.

At the beginning of 2013, I decided to do another 30 day challenge and may be even turn that into 60 day challenge, if I was feeling good. After 11 days, I got sick. I think, again, I had been pushing myself hard, both at work and otherwise. So, I backed off for a few days. Another time, my lower back was hurting a little. But against my better judgment, I chose to push through all the postures, including sit ups, which teachers always remind us to skip if there are any issues with the back. That night my whole back froze. It took me four five days to limber it up to get back to normal.

One Year Later

So, on President’s day 2013, a year later, as I write this, where am I?

Bikram Yoga continues to offer significant potential for growth, in conditioning, balance, flexibility and general health.

I can do most of the postures quite well. All of these postures can always be done better. Progress happens every time, but mostly in inches and centimeters

For certain postures, I have yet to achieve anywhere close to full final expression, notably, for Standing Head to Knee and Toe Stand poses.

I always feel like pushing myself, but lately I have been more conscious of keeping control of my breath. It seems appropriate to back off, if I am losing control of my breath. So, I skip one or both sets of a pose to regain control of my breath and then jump back in.

Based on above observations, I am thinking of an experiment: just to do only every other pose, so I will have enough energy available to perfect the postures, while maintaining control of my breath. In one session, I will do poses 1, 3, 5… and then next time 2, 4, 6 etc. Once perfected I would start doing all 26 postures together again.

Although I have much more flexibility and balance than I had a year ago, I don’t feel quite as strong as I used to feel. I have been wondering about experimenting with strength training to supplement yoga.

About 2 to 3 months into Bikram Yoga, I started experiencing ringing in my ears. I don’t know if that was a coincidence. I got the ears checked without any definitive diagnostic or cure. Ayuervedic Institute folks thought it was correlated with high Vata. I would like to heal this.